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Primary aorto-duodenal fistula

K A Muhsein1, I Suib, H Hanif

  • 1Department of General Surgery, Hospital Kuala Lumpur, Jalan Pahang, 50586, Kuala Lumpur.

The Medical Journal of Malaysia
|January 31, 2004
PubMed

Primary aorto-duodenal fistula is a rare and life-threatening cause of upper gastro-intestinal bleed. In this case report, a patient presented acutely with several episodes of haematochezia and pulseless lower limbs bilaterally. Primary aorto-duodenal fistula with peripheral vascular disease was diagnosed after an urgent CT angiogram was performed. She underwent left axillo-bifemoral bypass, resection of the fistula, Rouxen-Y gastro-jejunostomy, pyloric exclusion and controlled duodenal fistula the following day.

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